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Dr. Ashraf Joudeh

Dr. Ashraf Joudeh

Licensed Physician

الأسئلة المجابة 16952 | نسبة الرضا 98.7%

Doctor

It has been 4 years I am suffering with terrible...

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It has been 4 years I am suffering with terrible piles and fissures. Before the problem starts I used to poop once a day or sometimes twice. Then due to constipation I got this and I suffered for 6 months in very bad condition. I tried all the medications but it didn't work. Then I took herbal laxative medicine. That makes me have diarrhea. Slowly problem starts to heal.. But it didn't go away completely.. Still I need to take that herbal medicine every night. And everyday I have make sure that I need to poop 2 times a day... That also soft and smooth only. I don't have constipation problem. I am consuming lot of water. But if one day I didn't take medicine then I can't poop twice. Sometimes even if I am taking medicine then I don't need to go twice and if I don't go twice a day, next day I will pass solid poop and my condition will go worse again. I will have cuts in 2 or 3 places and it will bleed and pains a lot. Actually the solid poop size is normal and it is not hard also. Before this problem I was passing poop larger than this but it was not painful and it was totally normal for me. Nowadays i feel like there is piles around my anus and the passage is narrowed because of that. That's why even normal poop is larger for me. I can only pass soft and smooth poop smallar than baby finger size. Otherwise I will face the same painful problem.. It will last for 1 to 2 weeks and sometimes longer.. Everyday passing poop which is not solid is not possible and it won't happen everyday. But for me it is necessary because I can't pass solid poop. It has been 4 years and still I need to take that herbal medicine every night... I am tired of this. If my friends are planning for vacation and some overnight stay then first thing came in my mind is all about this.. What if I am not able to poop twice? What if poop gets harder? All the time I think about is that only. I miss my normal life. Is there anyway to get rid of this? I need 100% cure and need normal life to live. Please help. If people get any other diseases atleast they can sit and talk about that. But me I can't do that.. I am so tired of this..

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إجابة الخبير: Dr. Ashraf Joudeh

Dr. Ashraf Joudeh

Dr. Ashraf Joudeh

Licensed Physician

الأسئلة المجابة 16952 | نسبة الرضا 98.7%

What is the treatment for piles and anal fissure?
Dear customer, all the symptoms that you suffer from constipation and change in the bowel  emptying is because of the fissure and hemorrhoid, so they must be treated first to return to life as you wish.
We must pay attention to a healthy, balanced diet rich in fiber, soups and warm liquids to soften stool, and thus decrese from pain entering the bathroom due to the presence of anal fissures. We also recommend the use of ointment (Neo Helar) or ointment (protocare) with sit in sitz bath three times daily and Sitting in it for a period of not less than 20 minutes, and we recommend that you use a pain reliever until the wound recovers, such as (Truffen) or (Diclofen) pills.
In most cases, the recovery takes place within a week, but if it continues for an extended period and the response to these medications does not occur, you must undergo surgery.
How is the diagnosis made?
The diagnosis is based on the medical examination a piles & fissure seen by the doctor and what the patient complain 
 What are the causes of anal fissure and piles?

  • Chronic constipation
  • Constant pressure 
  • Severe inflammation in the anal area
  • Anal tumors
  • Anal sex 


What are the symptoms associated?
severe pain in the anus especially during defecation, and may come with blood coming from the anus  after defecation,Itching and burning sensation sometimes
Our advice?
Go to a surgeon to discuss a surgical tretment

إسأل Licensed Physician

Dr. Ashraf Joudeh

Dr. Ashraf Joudeh

Licensed Physician

الأسئلة المجابة 16952 | نسبة الرضا 98.7%

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